Kevin Michael Tomita, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15258 Issued in CA

Practice address

901 Sunvalley Blvd
Suite 110
Concord, CA 94520-5899

Phone

(925) 676-5638

NPI assigned

Mar 15, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Southern California College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nashville Family Eye Care, PLLCGroup PAC ID 7113417056, 2 clinicians

Murfreesboro Eye Center PLLCGroup PAC ID 3971974833, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Murfreesboro Eye Center PLLC

  • Optometrist
  • Murfreesboro, TN
  • NPI 1407589195
  Medicare reassignment Care Compare group NPD
• Nashville Family Eye Care, PLLC

  • Optometrist
  • Mount Juliet, TN
  • NPI 1619855517
  Medicare reassignment Care Compare group NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1619360625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUNVALLEY BLVD",
            "address_2": "SUITE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205899",
            "telephone_number": "925-676-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNVALLEY BLVD",
            "address_2": "SUITE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205899",
            "telephone_number": "925-676-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMITA",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-15",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "320 Lennon Lane",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaci Tolen
• Arianna Esteron Tolentino
• Faith Toler, RBT
• Olivia Tolton-Lazo
• Sarah Toma
• Justin Ton
• Jairus Tonel
• Debra Ying Fah Tong, PSY.D.
• Mariama L Tongi I
• Andre Tonoyan

• Optometrist in Concord, CA
• Providers in Concord, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.